| NPI | 1548571441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD GENE CASAS L PT 805-981-5420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 24233) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2010-06-24 |